Medical attendance at community health service centre and its influential factors among urban residents in Chengdu city

Objective To investigate the medical attendance at community health service centre(CHS) and its influencing factors among urban residents in Chengdu city.Methods With stratified randomized sampling,6 902 urban people aged 18 years or older were selected from six urban and six suburban communities in Chengdu city in 2008.The information was collected with a face-to-face questionnaire interview.Results Among the residents,CHS became the first choice of medical attendance with a preference rate of 25.31%,followed by secondary grade hospital and district hospital(24.11%),individual clinic(18.89%),and third grade hospitals and special hospitals(11.40%).The preference rate for CHS was 38.90% in urban residents,11.47% in the suburban,22.70% among the males,27.20% among the females,26.56% among the residents with medical insurance,33.56% among the residents knowing the location of the CHS,29.85% among the residents suffering from non-communicable chronic disease,and 54.67% among the residents receiving medical service provided by the CHS,respectively.Logistic regression analysis results showed that the pro-factors for the preference of CHS included knowing the location of the CHS,living in urban area,receiving medical service provided by CHS,and having med-ical insurance and the inhibitive factors included with non-communicable disease,with higher family income,and with higher education level.Conclusion CHS became the first choice of medical attendance among the urban residents in Chengdu city.The influencing factors for the preference of CHS are living area,education level,average family income,medical insurance,with medical service provided by CHS,with knowledge of CHS,and with non-communicable chronic disease.